ELECCIÓN DE REVESTIMIENTO DE IMPLANTES MAMARIOS CON COLGAJO TORACODORSAL TIPO HOLMSTRÖM VERSUS USO DE EXPANSOR TISULAR EN RECONSTRUCCIÓN MAMARIA POST MASTECTOMÍA POR CÁNCER EN PACIENTES DEL HOSPITAL “DR. TEODORO MALDONADO CARBO”, GUAYAQUIL, 2014.

Abstract

Breast reconstruction is a very important part if cancer’s therapy. Due to the surgical techniques diversity, they should be chosen in an assertive and individual way according to the characteristics of each patient to to achieve excellent results. A descriptive, longitudinal and observational study to establish a comparison between the unilateral thoracodorsal fasciocutaneous flap (Holmström) versus the use of tissue expander as options to cover retropectoral implant, in 29 women with delayed breast reconstruction after mastectomy in "Dr. Teodoro Maldonado Carbo" Hospital , at Guayaquil, operated between January to December, 2014. The average age was 50 years. The first group included the Holmström flap (39.9%) and the second, tissue expander (62.1%). The group number one comprised age range between 40-49 years (17.2%) and the second was between 50 and 59 (24.1%). The elapsed time between mastectomy and breast reconstruction was less than three years with the flap (20.7%) and the expander was between 3-5 years (37.9%). 37,8% of the perioperative visits was in the Holmström group (1-4 visits) and 37.8% was in the second group (> 5 visits). All the complications occurred with tissue expander because of valvular failure (3.4%) and capsular contracture (3.4%). Finally, the degree of satisfaction with the Holmström flap was excellent (72.7%). Conclusion: Due to all these advantages, the Holmström flap is an excellent option to cover breast implants in reconstructive procedures.